25D2027253 CLIA NUMBER - SINGING RIVER MEDICAL CLINIC - VANCLEAVE

Laboratory Demographics

  • CLIA Code: 25D2027253
  • Facility Name: SINGING RIVER MEDICAL CLINIC - VANCLEAVE
  • Facility Address: 11700 HWY 57
    VANCLEAVE, MS
    ZIP 39565
  • Facility Phone: 228 826-1482
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TIMOTHY R. IVEY
  • NPI Number: 1255728838
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2027253
LAB Type Rural Health Clinic
Facility Name SINGING RIVER MEDICAL CLINIC - VANCLEAVE
Street 11700 HWY 57
City VANCLEAVE
State MS
ZIP 39565
Phone 228 826-1482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Rural Health Clinic
Lab Director TIMOTHY R. IVEY

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This page was last updated on: 9/29/2025